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Bill > S4616


NJ S4616

NJ S4616
Requires hospitals to perform psychological and psychiatric evaluations on certain patients and requires health insurance coverage for such evaluations.


summary

Introduced
06/19/2025
In Committee
06/19/2025
Crossed Over
Passed
Dead
01/12/2026

Introduced Session

2024-2025 Regular Session

Bill Summary

This bill requires hospitals to perform psychological and psychiatric evaluations on certain patients and requires health insurance coverage for such evaluations. Under the bill, an acute care general hospital licensed pursuant to P.L.1971, c.136 (C.26:2H-1 et seq.) is to perform a psychological and psychiatric evaluation on a patient, who is being treated by the hospital for a drug overdose, prior to releasing the patient from the hospital. This bill requires health insurance carriers (health, hospital, and medical service corporations, commercial individual and group health insurers, health maintenance organizations, health benefits plans issued pursuant to the New Jersey Individual Health Coverage and Small Employer Health Benefits Programs, the State Health Benefits Program, and the School Employees' Health Benefits Program) to provide coverage for such psychological and psychiatric evaluations.

AI Summary

This bill requires acute care general hospitals in New Jersey to perform psychological and psychiatric evaluations on patients being treated for drug overdoses before releasing them from the hospital. The bill mandates that various types of health insurance carriers, including hospital service corporations, medical service corporations, health service corporations, individual and group health insurance policies, individual and small employer health benefits plans, health maintenance organizations, and state health benefits programs (such as the State Health Benefits Program and School Employees' Health Benefits Program), must provide coverage for these evaluations. The evaluations must be covered to the same extent as any other medical condition under the insurance contract. The bill will take effect seven months after enactment and will apply to all health benefits plans delivered, issued, executed, or renewed in New Jersey during that time. The Commissioner of Health is required to adopt rules and regulations to implement this requirement, ensuring that hospitals conduct these critical mental health assessments for patients who have experienced a drug overdose.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee (on 06/19/2025)

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